992 [44 USC 2107 Note) Caset:Niw
03-18.

JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM

Date : 07/22/96
Page : 1

AGENCY

RECORD NUMBER
RECORDS SERIES
AGENCY FILE NUMBER

AGENCY INFORMATION

INSCOM/CSF
194-10012-10472

DOD-AFFILIATED PERSONNEL AND INCIDENT INVESTIGATIONS

ZFOOOQ003W - PAGES 915-917

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

DATE OF LAST REVIEW
OPENING CRITERIA
COMMENTS

DOCUMENT INFORMATION

USA
[ RESTRICTED ]

AGENT REPORT
10/05/67

3

SLOVODA, VLADIMIR

REPORT OF FINDINGS

FIELD 201 FILE CHECK
POSSIBLE SENSITIVE DESERTION
SIMONS, PETER KARL

PAPER, TEXTUAL DOCUMENT
SNCDASSTETED

RELEASED WITH DELETIONS
03/20/95

PAGES 915-917 ARE DUPLICATE COPIES OF PAGES 797-799.

NW 88613 Doctd:34531181 Page 1

rs,

“"AR QEFICIAL LISE ORLY
aad AGENT REPORT

(AR 381-130; FM 30-17)!

ll aan eemereereea etme een adh oe mae

2. DATE SUBMITTED

5 October 1967

3. CONTROL SYMBOL OR FILE NUMBER

1. NAME OF SUBJECT OR TITLE OF INCIDENT

Possible Sensitive Desertion

4. REPORT OF FINDINGS

(FIELD 201 FILE) On 5 October 1967, the 201 File of Peter K. Simons,
Specialist 4, RA 19 841 799, was examined and revealed substantially the ,
following information:

Name:

Rank:

Service Nunber:
SSAN:

DOB:

POB;:
Citizenship:

BPED:

ETS:

Marital Status:
Religious Preference:
Father:

Mother:

Step-Father:

Physical Profile;
Physical Description:

Civilian Education:

Civilian Employment:

Aptitude Test Scores:

Peter Karl Simons

Specialist 4 (E4)

RA 19 841 799

550~-66-6254

5 May 1943

Cottbus, Germany

German, Alien Registration Number, A 13 022 527;

Date of entry, 8 August 1962; Port of entry, New

York, New York,

28 April 1965

27 April 1968

Single

Roman Catholic

Karl-Heinz Simons; POB: Saarland, Germany, DOB: j

Unknown; Present Address: Unknow. ;

Agnes Fries; POB: Essen, Germany, DOB: i

17 September 1920; Present Address: r

Cheruskerstr 49, Duesseldorf, W. Germany. .

Richard Westlake; POB: Unknown; DOB: Unknown; i

Present Address: Weston-Super-Mare, Somerset, i

‘England. a i

PULHES 111 121, Code B, 28 August 1965

Age, 24; Sex, Male; Height, 73"; Weight, 1784;

Hair, Brown; Eyes, Brown; Scars or marks, None.

55-59, Martin-Buteer; Dierdorf, W. Germany, Graduated;

59-62, Dierdorf Handesischule, Duesseldorf, Germany, |
i

Gradua ted.

Apr 59=Apr 62, Deurognbh, Berliner Alee 29, Duesseldorf,
Germany; Supervisor, Mr Grosskopf, Reason left (RL),
immigrate to US; Apr 62-Jul 64, AimSesa Forwarders Inc,
406 S, Nain St., Los Angeles, Califomia, Supervisor, _
Mr Rautenberg, RL, Better future; Jul-Sep 64, Liberty
Engineering Co., Culver City, Calif., Supervisor, Mr.
Kilmer, RL, quit; Sep-Oct 64, Sightseeing in New York;
Oct 64-Apr 65, Harper-Robinson & Co., 354 S. Spring St.,

Apr 65 to present, US Army.
IN, 111; AE, 103; EL, 103; GM, 102; MM, 115, CL, 123; |

GT, 106
Protective MGorténe is Miscluded From’? °

i
|
Los Angeles, Supervisor, Mr Caranea, RL, Joined: Amy} |

6. SIGNATURE OF SPECIAL AGENT

: ee ”
a a
LL ECCED RE Fo LAME LE EL

SOAS

Automatic Tormingtion (Per TO. AR OA

5. TYPED NAME AND ORGANIZATION OF SPECIAL AGENT

(CONTINUED)

|

WILLIAM F. MOCKLER, 501st MI Det (Armd Div)
FORPA

tn er nee cence
DA 1 are 52 3 4) i REPLACES WD AGO rords fo) Pavel La sii Nagle useb | e C a \ | Y

[vn Seerrener Tru 11 - wae SON eee ee =

NW 88613 Docid:34531181 Page 2

oe FOR QEEICIAE HSE Ake
7 AGENT REPORT ~~

(AR 381-130; FA 30-17)

2. DATE SUBMITTED
| ; 5 October 1967
| Possible Sensitive Desertion 3. CONTROL SYMBOL OR FILE NUMBER

« MroROFrmONGS (PIEID 201 FILE) (Continued)

Military Education: Rad Rel Carr Attend, MOS 31120, Signal
Corps, 12 weeks, 1965
Record of Non-Judicial

Punishnent: None
Record of Courts Martial: None
DD Form 395: Executed, unqualified dated 1 October 1945
DD Form 98: Executed, unqualified dated 28 April 1965
Security Clearance: None; Background investigation requested

by the ACofS, G2, Fort Gordon, Georgia,
on 4 October 1965, UP AR 614-280 for
retention of Simons in Militery Service
Civilian Foreign Travel: 53 to 54, Great Britain, Schooling; Apr 56
to Aug 55, Great Britain, Schooling; fug 57
to Sep 57, Italy, Vacation; Jul 61 to Sep 61,
France, Vacation; Simons has also been in the
following countries for sight seeing purposes
from 1957 to 1965, Denmark, Austria, Belgium,
Switzerland, Mexico, Holland, laxemburg, France,
and Spin
Foreign Service: 14 Nov 65 to 27 Nov 66, USAREUR Gerzany
Fromotions/Reductions! PVT El (P) & Apr 65 AR 601-210
PUT E2 (P) 28 Aug 65 Far 7~19 AR 600-200
PrCE3 (P) 4 Jan 66 Per 1 UO4, Co B, 32d Sig Bn
APO 757
SPA EL (T) U0#32, Co B, 32dSig Bn, APO 09757
Chronology of Military
Service: 28 Ape 65 USARECSTA (4075) FT POLK LA
. 10 May 65 ComlBn2ngBDE FL Polk Ia
17 Jul 65 StwCoS USASESCS Ft Gordon, GA
16 Nov 65 CoB 32dSigBn APO 09757
25 Nov 65 Enroute to Conus
9 Jan 67 CoC lAlstSigdn lst AD Ft Hood, Tex
8 Jun 67 A9thSigFlatoon, 198thInfBde,FtHd, Tex
} Remarks Remarks: ,
1. Simons identification card reported lost to Provost Marshal,
17 August 1967, issued new identification card,
2. Special Order Number 31, Headquserters, 198th Infantry Brigade,
Fort Hood, dated 19 August 1967, authorized ordinary leave for Simons
effective 1 September 1967, for 20 days. Leave address: Oberlindau 89.
Frankfurt-iain, Germany, Special Instruction: EM will report to the
frmy attache et the fmerican Embassy, or to the Co:mander of the US
Elenent, as apvropriate,
3e Simons enlisted urder the Buddy Assignment Plan, with one
Michael C, Morgan, RA 19 €41 794, for further assignment to USARSUR.
cavr da Machited From | © (CONTINUED)
5. WPL OMY IANO BEGANATION, OF PEUM AGENT, 345-15) 6. SIGNATURE OF SPECIAL AGENT

Protcciivas Thork

tho 9

| WILLIAM FP. MOCKLER, SOLeSMI Det (Armd Div) Yo tebe

fae

DAL BAT ce wo nco Gay METER MRE CNTY

delle ibe asian cilia - sw eecibevaa indepen eee ~ at ee teen instal

NW 88613 Docid:34531181 Page 3


AGENT REPORT”

(AR 381-130; FM 30-17) . ‘
V. NAME OF SUBJECT OR TITLE OF INCIDENT ~ ~

‘2. DATE SUBMITTED

5 October 1967

3. CONTROL SYMBOL OR FILE NUMBER, _
J 4 erorrorrinoincs (VISLD 201 FILE) (Gontinusd)~ a -
4. Simons drew advance yay of $360, 6 Aug 67, to be reraid
at $60 a month for six months.
;
\
}
1
i
Protuctive Marking is [xcluded Prom
Automatic Termination (Pur 19 AR 345-35) g 1 7

5. TYPED NAME AHD ORGANIZATION OF SPECIAL AGENT 6. SIGNATURE QF SPECIAL AGENT 2!
:
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STLLIAN Fy MOCK, 50lst MI Det (Armd Div) a A :

Se ane DSi poner ene a

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DA. “aim 3 A REPLACES WD folded sal Vouk Ly jE vnfl marle : beep. i |
| meat Jv Ie Gree Ua |

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NW 88613 Docid:34531181 Page 4

